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2019 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With
Insights
This annual review summarizes the latest cardiopulmonary resuscitation (CPR) science and treatment recommendations. It covers critical areas like cardiac arrest centers, extracorporeal CPR, and advanced airway interventions for improved resuscitation outcomes.
Area of Science:
- Emergency Medicine
- Cardiology
- Resuscitation Science
Background:
- The International Liaison Committee on Resuscitation (ILCOR) continuously reviews new cardiopulmonary resuscitation (CPR) science.
- This is the third annual summary of ILCOR's International Consensus on CPR and Emergency Cardiovascular Care Science With Treatment Recommendations.
Purpose of the Study:
- To present the most recent peer-reviewed resuscitation evidence reviewed by ILCOR Task Force experts.
- To provide consensus treatment recommendations based on the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) criteria.
Main Methods:
- Review of recently published, peer-reviewed cardiopulmonary resuscitation (CPR) science by ILCOR Task Force experts.
- Assessment and debate of evidence certainty using the GRADE criteria.
- Development of consensus treatment recommendations.
Main Results:
- Summaries of evidence and treatment recommendations on cardiac arrest centers, dispatcher-assisted CPR, extracorporeal CPR (ECPR) in adults and children, vasopressors, advanced airway interventions, targeted temperature management in children, neonatal resuscitation oxygenation, and first aid for presyncope.
- Identification of priority knowledge gaps for future research.
Conclusions:
- The ILCOR consensus provides updated treatment recommendations for various aspects of resuscitation and emergency cardiovascular care.
- The review highlights areas requiring further research to advance resuscitation science.
Abstract:
The International Liaison Committee on Resuscitation has initiated a continuous review of new, peer-reviewed, published cardiopulmonary resuscitation science. This is the third annual summary of the International Liaison Committee on Resuscitation International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations. It addresses the most recent published resuscitation evidence reviewed by International Liaison Committee on Resuscitation Task Force science experts. This summary addresses the role of cardiac arrest centers and dispatcher-assisted cardiopulmonary resuscitation, the role of extracorporeal cardiopulmonary resuscitation in adults and children, vasopressors in adults, advanced airway interventions in adults and children, targeted temperature management in children after cardiac arrest, initial oxygen concentration during resuscitation of newborns, and interventions for presyncope by first aid providers. Members from 6 International Liaison Committee on Resuscitation task forces have assessed, discussed, and debated the certainty of the evidence on the basis of the Grading of Recommendations, Assessment, Development, and Evaluation criteria, and their statements include consensus treatment recommendations. Insights into the deliberations of the task forces are provided in the Justification and Evidence to Decision Framework Highlights sections. The task forces also listed priority knowledge gaps for further research.
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